Revenue Cycle Specialist

Overview

A Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished.

As a Revenue Cycle Specialist, this position is responsible for handing basic level work of recurring and/or daily functions and processes that are necessary for business execution. Under the direct supervisor of the Team Lead, a Revenue Cycle Specialist will be required to complete and/or monitor organizational functions and/or processes, ensuring they are completed accurately, on time, and in compliance with established policies and regulations.

Additionally, this person would be responsible to collect, analyze, and interprets revenue-related data across multiple data systems. This individual would be required to tracks processes, prepare reports for management detailing quality and/or quality of departmental actions. Implements procedural changes meant to improve performance or efficiency.

Responsibilities

• Payment Postings and Reconciliations. Post payments to collection accounts, reconciles with posted bank transactions, works with AP department to have refund issued when needed, reconciles monthly bank statements with cash posting database. Posts adjustment transactions to collection system as well as client's system.
• Cash Application. Performs cash application functions and processes relevant to the Corporate and client requirements in a manner that meets or exceeds key performance criteria.
• Systems Capability. Access and understand necessary information of the various online systems, understanding the systems process in determining how a claim has been paid in order to accurately apply payments and adjustments and assists in determining the adjudication of a refund.
• Account Reconciliation. Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures daily deposit reconciliation; maintains daily, monthly reporting for audit purposes. Reconciles daily deposit totals, review and correct discrepancies. Responsible for cash balancing and reconciliation of bank deposits and communication between internal and external customers.
• Research and Resolution. Researches and accurately distributes payments with no apparent invoice number, or date-of-service. Researches and determines the correct claim for the payment if there is a valid patient/date of services and accurately applying payment to correct claim.
• Ensures Compliance. Maintains thorough and detailed knowledge of compliance and recovery laws regarding processing and recoupment to ensure compliance with state laws regarding all cash processes as evident through the collection cycle. 

Qualifications

• 0-2 years of related experience and/or High School or GED Equivalent.
• Knowledge of basic accounting or finance practices; previous experience in a finance or accounting role preferred.
• Computer proficiency in Microsoft Office applications, system databases are required.
• Excellent organizational ability required to handle multiple priorities.
• Strong attention to detail and accuracy.
• Requires working knowledge of and applicable industry based standards.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.

Mental Requirements:

• Possesses excellent written and verbal communication skills.
• Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency.
• Assessing the accuracy, neatness and thoroughness of the work assigned

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• No adverse environmental conditions are expected.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $18.00 to $21.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. 

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our careers page at Healthcare Analytics Careers | Cotiviti.

Date of posting: 1/13/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/3/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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